Umbilical hernia repair
PREOPERATIVE DIAGNOSIS
Umbilical hernia.
POSTOPERATIVE DIAGNOSIS
Umbilical hernia.
PROCEDURES
Umbilical hernia repair.
ANESTHESIA
General.
ESTIMATED BLOOD LOSS
Minimal.
COMPLICATIONS
None.
SPECIMENS
Hernia sac.
DISPOSITION
To the PACU in stable condition.
OPERATIVE NOTE
The patient was brought to the operative suite, placed supine on the operating room table. After adequate general anesthesia had been achieved, the abdomen was prepped and draped in the usual sterile fashion. Then, using a #15 blade, an infraumbilical curvilinear incision was made and then the cautery was used for hemostasis. Then, the hernia defect was dissected free in the subcutaneous space and then a clamp was placed posteriorly to the hernia defect and then the hernia sac was opened and the umbilical skin overlying the defect was detached using cautery. Then, the hernia sac was identified and opened. There was no bowel within the hernia sac, only preperitoneal fat. The hernia sac was excised and passed off the table as specimen. Then, the fascia was examined and noted to be of good integrity and amenable to a primary repair. So using 0 Ethibond suture in an interrupted fashion, the hernia defect was repaired and closed. Then, the umbilical skin was tacked down to the fascia using 2-0 Vicryl suture and the subcutaneous tissue was reapproximated with 3-0 Vicryl suture, skin was then closed with 4-0 Vicryl in subcuticular fashion, and Dermabond dressing was applied. The needle, sponge, instrument counts were correct at the end of the case. The patient tolerated procedure well, was then transferred to the PACU in stable condition.
Umbilical hernia.
POSTOPERATIVE DIAGNOSIS
Umbilical hernia.
PROCEDURES
Umbilical hernia repair.
ANESTHESIA
General.
ESTIMATED BLOOD LOSS
Minimal.
COMPLICATIONS
None.
SPECIMENS
Hernia sac.
DISPOSITION
To the PACU in stable condition.
OPERATIVE NOTE
The patient was brought to the operative suite, placed supine on the operating room table. After adequate general anesthesia had been achieved, the abdomen was prepped and draped in the usual sterile fashion. Then, using a #15 blade, an infraumbilical curvilinear incision was made and then the cautery was used for hemostasis. Then, the hernia defect was dissected free in the subcutaneous space and then a clamp was placed posteriorly to the hernia defect and then the hernia sac was opened and the umbilical skin overlying the defect was detached using cautery. Then, the hernia sac was identified and opened. There was no bowel within the hernia sac, only preperitoneal fat. The hernia sac was excised and passed off the table as specimen. Then, the fascia was examined and noted to be of good integrity and amenable to a primary repair. So using 0 Ethibond suture in an interrupted fashion, the hernia defect was repaired and closed. Then, the umbilical skin was tacked down to the fascia using 2-0 Vicryl suture and the subcutaneous tissue was reapproximated with 3-0 Vicryl suture, skin was then closed with 4-0 Vicryl in subcuticular fashion, and Dermabond dressing was applied. The needle, sponge, instrument counts were correct at the end of the case. The patient tolerated procedure well, was then transferred to the PACU in stable condition.
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